6ET-24849-41746

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 447 / OH
Registered: 2021-03-15

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-16
Dose 1 — Moderna
2021-03-15
Registered in v-safe
2021-03-15
Survey response — day 21, dose 1
MedDRA: Arthralgia, Insomnia, Myalgia — Feeling: Good

Free text: In the 3rd week post vaccine 1 I started having muscle pains, first on top of my left foot, then daily more muscles and joints started to hurt: neck, shoulder blades knees, elbows, hands, lower back, right hip to the point I could not sleep on it...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Dose 2 — Moderna
2021-03-16
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain, Pain in extremity, Reaction to previous exposure to any vaccine — Feeling: Good · Muscle or body aches

Free text: This pain is the remnants of all the body aches and joint pains that started the 3rd week after the 1st injection on 2/16/2021. My right hip and pain in my right leg on lateral side is still getting better and is the last pain Ive had from my 1st injection, no pain or aches from the 2nd injection 3/16/2021. I just thought I should mention this , Even though its not related to the second vaccine injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — day 14, dose 2
MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Good

Free text: The remaining symptoms of aches and pains remain in my right hip and outer/lateral side of my leg is still there on getting up and out of bed, since the initial pains started after the 3rd week after 1st injection. Shocked pain still remains residua

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-20
Survey response — day 35, dose 2
MedDRA: Pain — Feeling: Fair

Free text: That mystery pain I described that started on week 3 after 1 injection on 2-16-2021... body aches ie: lower back, right hip and lateral side of right leg is not resolving, but getting worse with no previous back hip or leg pain and no injuries.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 42, dose 2
MedDRA: Back pain, Neuralgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fine up until I was looking for an item in my car and straighten up after... due to severe sacral lower back pain, which flexoril and 2 Aleve have not touched, more on r side this time, when I press in l hip area.. it get nerve pain going down l leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Hypoaesthesia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Numbness of great toe and the 2 beside it on right footWith much less pain in the right hip.Start physical therapy last week and today I had a session · Healthcare visit (other): Neuro spine consult and now physical therapy twice per week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-23
Call 1 — Left Voicemail
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-16
Survey response — 12 months, dose 2
MedDRA: Joint swelling, Office visit, Pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: After being off of the gabapentin 300 mg capsules for the pain left from the Moderno vaccine I had to start it back up three weeks ago so I'm back taking it. joint knuckes on both hands have enlarged And I no longer can wear my rings w/pain · Healthcare visit (other): Dr office visit

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-16	Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-15

Symptoms: In the 3rd week post vaccine 1 I started having muscle pains, first on top of my left foot, then daily more muscles and joints started to hurt: neck, shoulder blades knees, elbows, hands, lower back, right hip to the point I could not sleep on it... cut off by CDC

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): This pain is the remnants of all the body aches and joint pains that started the 3rd week after the 1st injection on 2/16/2021. My right hip and pain in my right leg on lateral side is still getting better and is the last pain Ive had from my 1st injection, no pain or aches from the 2nd injection 3/16/2021. I just thought I should mention this , Even though its not related to the second vaccine injection.

Release 6 — day 14, dose 2

2021-03-30

Symptoms: The remaining symptoms of aches and pains remain in my right hip and outer/lateral side of my leg is still there on getting up and out of bed, since the initial pains started after the 3rd week after 1st injection. Shocked pain still remains residua cut off by CDC

Release 7 — day 35, dose 2

2021-04-20

Symptoms: That mystery pain I described that started on week 3 after 1 injection on 2-16-2021... body aches ie: lower back, right hip and lateral side of right leg is not resolving, but getting worse with no previous back hip or leg pain and no injuries.

Release 8 — day 42, dose 2

2021-04-27

Symptoms: Fine up until I was looking for an item in my car and straighten up after... due to severe sacral lower back pain, which flexoril and 2 Aleve have not touched, more on r side this time, when I press in l hip area.. it get nerve pain going down l leg cut off by CDC

Release 9 — 3 months, dose 2

2021-06-15

Symptoms: Numbness of great toe and the 2 beside it on right footWith much less pain in the right hip.Start physical therapy last week and today I had a session

Healthcare visit (other): Neuro spine consult and now physical therapy twice per week

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: After being off of the gabapentin 300 mg capsules for the pain left from the Moderno vaccine I had to start it back up three weeks ago so I'm back taking it. joint knuckes on both hands have enlarged And I no longer can wear my rings w/pain

Healthcare visit (other): Dr office visit

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release